Mourya Akanksha, Mishra Sunil Kumar, Gaddale Reetika, Chowdhary Ramesh
Department of Prosthodontics, People's College of Dental Sciences and Research Center, Bhopal, India.
Department of Periodontology, AME'S Dental College and Hospital, Raichur, India.
J Investig Clin Dent. 2019 Nov;10(4):e12449. doi: 10.1111/jicd.12449. Epub 2019 Aug 21.
The aim of the present study was to establish the efficacy of the socket-shield technique (SST) for the stabilization of the facial gingival and osseous architecture. An electronic search including the Cochrane databases, EBSCOhost, Medline/PubMed and Web of Science was performed. Articles related to SST for placing dental implants were included. Articles and abstracts not written in English were excluded. The initial literature search resulted in 113 articles related to questions raised. Hand searching of the journals related to implants and cross-referencing related to SST within the selected articles resulted in 1 more paper. Finally, 20 full texts and abstract of 1 article were included in the present systematic review: 11 case reports, 6 case series, 1 human randomized control trial (RCT), 1 technical report and 2 animal RCT. Recent modifications in SST, along with long follow-up studies with increased sample size, provided promising results. This systematic review still recommends that SST should not be used in routine clinical practise until a higher level of evidence established. Further RCT on SST are required to establish the clinical efficacy of this technique.
本研究的目的是确定牙槽窝保护技术（SST）对面部牙龈和骨结构稳定的有效性。进行了电子检索，包括Cochrane数据库、EBSCOhost、Medline/PubMed和Web of Science。纳入了与采用SST植入牙种植体相关的文章。排除非英文撰写的文章和摘要。初步文献检索得到113篇与提出问题相关的文章。对与种植体相关的期刊进行手工检索，并在所选文章中对与SST相关的内容进行交叉引用，又得到1篇文章。最后，本系统评价纳入了20篇全文和1篇文章的摘要：11篇病例报告、6篇病例系列、1项人体随机对照试验（RCT）、1篇技术报告和2项动物RCT。SST的近期改进以及样本量增加的长期随访研究提供了有前景的结果。本系统评价仍建议，在建立更高水平的证据之前，SST不应在常规临床实践中使用。需要进一步开展关于SST的RCT以确定该技术的临床疗效。
